Jena Fouraker, LCSW, LSCSW is a medicare enrolled "Social Worker - Clinical" provider in Lake Waukomis, Missouri. Her current practice location is
1133 Nw South Shore Dr, Lake Waukomis, Missouri. You can reach out to her office (for appointments etc.) via phone at
(816) 895-2533.
Jena Fouraker is licensed to practice in Missouri (license number 2019036298) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972125193.
Healthcare Provider's Profile
Full Name | Jena Fouraker |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1133 Nw South Shore Dr, Lake Waukomis, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972125193
- Provider Enumeration Date: 05/11/2020
- Last Update Date: 02/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1153742606
- Enrollment ID: I20200609001341
Medical Identifiers
Medical identifiers for Jena Fouraker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972125193 | NPI | - | NPPES |
490083224 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2019036298 (Missouri) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jena Fouraker allows following entities to bill medicare on her behalf.
Entity Name | Rediscover |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841235298 PECOS PAC ID: 3375453517 Enrollment ID: O20031118000461 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jena Fouraker is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jena Fouraker, LCSW, LSCSW 1133 Nw South Shore Dr, Lake Waukomis, MO 64151-1439 Ph: (816) 895-2533 | Jena Fouraker, LCSW, LSCSW 1133 Nw South Shore Dr, Lake Waukomis, MO 64151-1439 Ph: (816) 895-2533 |
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